Thuc N Ly is a Physician Assistant in West Covina, California. Thuc N Ly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Thuc N Ly is 1407968712. The last update date is 2011-04-28.
Thuc N Ly's current location address is 3433 Fionna Pl, West Covina, California. You can contact this provider via phone number 6266758169. The mailing address for Thuc N Ly is 3433 Fionna Pl, West Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thuc N Ly |
|---|---|
| Address | 3433 Fionna Pl, West Covina, California |
| Phone Number | 6266758169 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1407968712 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2011-04-28 |
Provider Mailing Address Detail
| Address | 3433 Fionna Pl |
|---|---|
| City | West Covina |
| State | California (CA) |
| Post Code | 917925703 |
| Phone Number | 6266758169 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA16370 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 952662606 | CA | GRP TAX ID # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thuc N Ly by the Centers for Medicare & Medicaid Services?
The Thuc N Ly has been issued the NPI (National Provider Identifier) 1407968712, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Thuc N Ly is geographically located?
The Thuc N Ly is physically situated at the following location: 3433 Fionna Pl, West Covina, CA, 917925703.
What is Thuc N Ly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thuc N Ly's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407968712 to Thuc N Ly?
The Thuc N Ly received its 1407968712 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the Thuc N Ly's details last updated?
The information pertaining to the Thuc N Ly, including its address, specialty, and other details, was most recently updated on 2011-04-28.